Parent / Child Workshop Registration Form

Family Name:

Home:

Office:

Mobile:

Others:

Registered Participants (children must be above 9 years old)

Participant Names
Position in
family

Learning Investment
Father or Mother: RM 120
Both Parents: RM 200

Age

Sex

Children : RM 80 each

Total Learning Investment: ________________________________

inclusive of Lunch.

Payment Details Bank: ________________Cheque No___________

Call Susan at 7880 5258 or

Fax Registration to 7880 5270

Summit Hotel @21 August 2005

9:30am 5:30pm

Priority Sky Sdn Bhd 23-6 Blk D2 Dataran Prima, 47301 Petaling Jaya, Selangor